This
story originally appeared at Yahoo News.
MIAMI
(AP) — Federal officials have capped the amount of money scofflaws will be
forced to pay if they don't buy insurance this year at $2,448 per person and
$12,240 for a family of five.
The
amount is equal to the national average annual premium for a bronze level
health plan. But only those with an income above about a quarter of a million
dollars would benefit from the cap. Those making less would still have to pay
as much as 1 percent of their annual income.
The
penalty for the first year starts at $95 per adult or $47.50 per child under
18. The penalty for not buying insurance increases to 2 percent of income or
$325, whichever is higher, for 2015. The fines are due when people file their
2014 taxes.
The
figures, released late Thursday, are important because the White House has only
provided theoretical caps in the past. Conservative lawmakers and groups that
are critical of the Affordable Care Act encouraged consumers to skip buying
insurance, arguing it would be cheaper to pay a $95 penalty, but often failed
to mention the 1 percent clause.
The
uninsured will owe 1/12th of the annual payment for each month they or their
dependents don't have either coverage or an exemption, according to the IRS.
Federal
researchers predict that about 4 million people, including dependents, could be
hit with fines by 2016. The Congressional Budget Office had previously
projected 6 million would pay fines, but dropped the estimate because more
people will be exempt from the law, partly due to changes in regulations.
More
than 8 million people signed up for insurance under the Affordable Care Act and
many Americans already had insurance through their employers and were not
affected by the fine.
If
someone is due a tax refund, the IRS can deduct the penalty from the refund.
Otherwise, the IRS will let people know what's owed or hold back the amount of
the penalty fee from future tax refunds, but there are no liens or criminal
penalties for failing to pay.
Some
residents, including prison inmates, are exempt from the penalties and others
can file for hardship conditions. If people don't earn enough money to have to
file a federal tax form, they don't have to buy coverage. The threshold for
filing a federal tax return is $10,150.
Premium
prices vary widely based on age, gender and zip code so the premium for a
bronze plan in South Florida could be much different than the cost of a bronze
plan in Kansas.
EXEMPTIONS?
- You were homeless.
- You were evicted in the past 6
months or were facing eviction or foreclosure.
- You received a shut-off notice
from a utility
- You recently experienced domestic
violence.
- You recently experienced the death
of a close family member.
- You experienced a fire, flood, or
other natural human-caused disaster that caused substantial damage to your
property.
- You filed for bankruptcy in the
last 6 months.
- You had medical expenses you
couldn’t pay in the last 24 months.
- You experienced unexpected
increases in necessary expenses due to caring for an ill, disabled, or
aging family member.
- You expect to claim a child as a
tax dependent who’s been denied coverage in Medicaid and the Children’s
Health Insurance Program (CHIP), and another person is required by court
order to give medical support to the child.
- As a result of an eligibility
appeals decision, you’re eligible either for: 1) enrollment in a qualified
health plan (QHP) through the Marketplace, 2) lower costs on your monthly
premiums, or 3) cost-sharing reductions for a time period when you weren’t
enrolled in a QHP through the Marketplace.
- You were determined ineligible for
Medicaid because your state didn’t expand eligibility for Medicaid under
the Affordable Care Act.
- You received a notice saying that
your current health insurance plan is being cancelled, and you consider
the other plans available unaffordable.
- You experienced another hardship
in obtaining health insurance.
The
last category merely says to “please submit documentation if possible.” After
sending in their signed application, applicants, if approved, will receive an
“Exemption Certificate Number” to put on their federal income tax return.